JERRY M. ROBERTS M.D.
NPI 1093761884
Pediatrics in Peachtree City, GA

Q: What is Jerry Roberts's NPI number?

The NPI number for Jerry Roberts is 1093761884. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Jerry Roberts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Roberts was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2006PECOS Enrolled

4000 SHAKERAG HL, SUITE 201, PEACHTREE CITY, GA 30269(770) 486-7111(770) 486-7131 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jerry M. Roberts M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY M. ROBERTS M.D. (NPI 1093761884) is an individual pediatrics provider in Peachtree City, Georgia, licensed in Georgia (025657) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093761884

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJERRY M. ROBERTSCredential: M.D.

Location Address4000 SHAKERAG HL, SUITE 201Peachtree City, GA 30269-4047

Mailing AddressPo Box 102321Atlanta, GA 30368-2321

Phone(770) 486-7111

Fax(770) 486-7131

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateFebruary 15, 2012

✔ NPI 1093761884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 025657

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4000 SHAKERAG HL, Peachtree City, GA 30269

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Other Identifiers 2

Medicare UPIND40982GA

Medicare ID-Type Unspecified37BBGXWGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry M. Roberts M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRAYER PHYSICAL THERAPY INSTITUTE OF KY PLLC

Physical Therapist

4000 SHAKERAG HL, STE 100
PEACHTREE CITY, GA 30269

Fayette County (770) 692-9460

JACQUELYN NICOLE MCDOWELL CPNP

Nurse Practitioner (Pediatrics)

4000 SHAKERAG HL, SUITE 201
PEACHTREE CITY, GA 30269

Fayette County (770) 486-7111

MRS. RENEE S KING FNP-C

Nurse Practitioner

4000 SHAKERAG HL, 301
PEACHTREE CITY, GA 30269

Fayette County (770) 486-7192

ALLERGY SINUS AND COUGH CENTER OF GEORGIA, INC

Allergy & Immunology

4000 SHAKERAG HL, SUITE 300
PEACHTREE CITY, GA 30269

Fayette County (262) 327-0704

NEWNAN LUNG AND SLEEP SPECIALISTS, P.C.

Internal Medicine (Pulmonary Disease)

4000 SHAKERAG HL, SUITE 302
PEACHTREE CITY, GA 30269

Fayette County (770) 253-8088

DR. MICHAEL E. OBENSHAIN MD

Internal Medicine

4000 SHAKERAG HL
PEACHTREE CITY, GA 30269

Fayette County (770) 486-7100

MRS. LISA MACOY NP

Nurse Practitioner

4000 SHAKERAG HL, SUITE 201
PEACHTREE CITY, GA 30269

Fayette County (770) 486-7111

DR. HARRY SNAPPERMAN M.D.

Family Medicine

4000 SHAKERAG HL
PEACHTREE CITY, GA 30269

Fayette County (770) 486-7070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Roberts's NPI number?

The NPI number for Jerry Roberts is 1093761884. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Jerry Roberts located?

Jerry Roberts practices at 4000 Shakerag Hl Suite 201, Peachtree City, GA 30269. The listed phone number is (770) 486-7111.

What is Jerry Roberts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jerry Roberts enrolled in Medicare?

Yes. Jerry Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Roberts was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.